Organization Active NPI

Innerscape Counseling PLLC

  • Clinical Social Worker
  • Grand Blanc, MI
National Provider Identifier
1811858590
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNERSCAPE COUNSELING PLLC
Practice address
2290 E Hill Rd Ste 103
Grand Blanc, MI 48439-5424
Phone
(248) 382-8507
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pamela R ShadaiaNPI 1831425396
Title
Managing Member
Phone
(248) 382-8507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2290 E Hill Rd Ste 103
Grand Blanc, MI 48439-5424

Mailing address

4473 Daniel Dr
Grand Blanc, MI 48439-7653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260309000249 MI Part B Supplier - Clinic/Group Practice 4981187978 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Blanc, MI

National Provider Directory

National Provider Directory

Locations

2290 E Hill Rd
Ste 103
Grand Blanc, MI 48439
Phone (248) 382-8507

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772323200000",
    "number": "1811858590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 DANIEL DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 E HILL RD STE 103",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395424",
            "telephone_number": "248-382-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERSCAPE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A",
        "authorized_official_last_name": "SHADAIA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-382-8507"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.